Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $5.50 / $8.32 / $21.88	Facility	26	$5.50	$8.32	$21.88
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $21.88 / $64.57 / $309.03	Facility	TC	$21.88	$64.57	$309.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $37.15 / $123.03	Professional		$13.80	$37.15	$123.03
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.01 / $10.00 / $26.92	Professional	26	$5.01	$10.00	$26.92
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.20 / $26.92 / $64.57	Professional	TC	$18.20	$26.92	$64.57
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $7.08 / $7.08 / $7.08	Facility	26	$7.08	$7.08	$7.08
BCBS Facility/Professional Facility Modifier TC Low / Median / High Price $22.39 / $22.39 / $22.39	Facility	TC	$22.39	$22.39	$22.39
BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $31.62 / $58.88	Professional		$22.39	$31.62	$58.88
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $5.62 / $8.32 / $14.79	Professional	26	$5.62	$8.32	$14.79
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $16.98 / $23.44 / $45.71	Professional	TC	$16.98	$23.44	$45.71
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $1.55 / $8.32 / $19.50	Facility	26	$1.55	$8.32	$19.50
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $5.25 / $28.18 / $75.86	Facility	TC	$5.25	$28.18	$75.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $37.15 / $77.62	Professional		$22.91	$37.15	$77.62
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.25 / $8.91 / $17.38	Professional	26	$5.25	$8.91	$17.38
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $17.38 / $28.84 / $61.66	Professional	TC	$17.38	$28.84	$61.66
United Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $29.51 / $56.23	Professional		$21.88	$29.51	$56.23
United Facility/Professional Professional Modifier 26 Low / Median / High Price $5.37 / $7.08 / $13.18	Professional	26	$5.37	$7.08	$13.18
United Facility/Professional Professional Modifier TC Low / Median / High Price $16.22 / $22.91 / $43.65	Professional	TC	$16.22	$22.91	$43.65